Home environment of 11-year-old children born to parents with schizophrenia or bipolar disorder - A controlled, 4-year follow-up study: The Danish High Risk and Resilience Study - VIA 11
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Home environment of 11-year-old children born to parents with schizophrenia or bipolar disorder - A controlled, 4-year follow-up study : The Danish High Risk and Resilience Study - VIA 11. / Krantz, Mette Falkenberg; Hjorthøj, Carsten; Brandt, Julie Marie; Prøsch, Åsa Kremer; Rohd, Sinnika Birkehøj; Wilms, Martin; Veddum, Lotte; Steffensen, Nanna Lawaetz; Knudsen, Christina Bruun; Andreasen, Anna Krogh; Stadsgaard, Henriette; Hemager, Nicoline; Burton, Birgitte Klee; Gregersen, Maja; Søndergaard, Anne; Greve, Aja; Gantriis, Ditte Lou; Melau, Marianne; Ohland, Jessica; Mortensen, Preben Bo; Bliksted, Vibeke; Mors, Ole; Thorup, Anne A.E.; Nordentoft, Merete.
In: Psychological Medicine, Vol. 53, No. 6, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Home environment of 11-year-old children born to parents with schizophrenia or bipolar disorder - A controlled, 4-year follow-up study
T2 - The Danish High Risk and Resilience Study - VIA 11
AU - Krantz, Mette Falkenberg
AU - Hjorthøj, Carsten
AU - Brandt, Julie Marie
AU - Prøsch, Åsa Kremer
AU - Rohd, Sinnika Birkehøj
AU - Wilms, Martin
AU - Veddum, Lotte
AU - Steffensen, Nanna Lawaetz
AU - Knudsen, Christina Bruun
AU - Andreasen, Anna Krogh
AU - Stadsgaard, Henriette
AU - Hemager, Nicoline
AU - Burton, Birgitte Klee
AU - Gregersen, Maja
AU - Søndergaard, Anne
AU - Greve, Aja
AU - Gantriis, Ditte Lou
AU - Melau, Marianne
AU - Ohland, Jessica
AU - Mortensen, Preben Bo
AU - Bliksted, Vibeke
AU - Mors, Ole
AU - Thorup, Anne A.E.
AU - Nordentoft, Merete
N1 - Publisher Copyright: Copyright © The Author(s), 2021. Published by Cambridge University Press.
PY - 2023
Y1 - 2023
N2 - Background The home environment has a major impact on child development. Parental severe mental illness can pose a challenge to the home environment of a child. We aimed to examine the home environment of children of parents with schizophrenia or bipolar disorder and controls longitudinally through at-home assessments. Methods Assessments were conducted within The Danish High Risk and Resilience Study, a nationwide multi-center cohort study of children of parents with schizophrenia or bipolar disorder and population-based controls. The level of at-home stimulation and support was measured at age 7 (N = 508 children) and age 11 (N = 430 children) with the semi-structured HOME Inventory. Results from the 11-year follow-up study were analyzed and compared with 7-year baseline results to examine change across groups. Results At age 11, children of parents with schizophrenia and bipolar disorder had lower levels of stimulation and support than controls (mean (s.d.) = 46.16 (5.56), 46.87 (5.34) and 49.25 (4.37) respectively, p < 0.001). A higher proportion of children with parental schizophrenia or bipolar disorder lived in inadequate home environments at age 11, compared with controls (N (%) = 24 (15.0), 12 (12.2) and 6 (3.5) respectively, p < 0.003). The changes in home environment scores did not differ across groups from age 7 to age 11. Conclusions Assessed longitudinally from the children's age of 7 to 11, children of parents with schizophrenia or bipolar disorder had lower levels of stimulation and support in their homes than controls. Integrated support which can target practical, economic, social and health issues to improve the home environment is indicated.
AB - Background The home environment has a major impact on child development. Parental severe mental illness can pose a challenge to the home environment of a child. We aimed to examine the home environment of children of parents with schizophrenia or bipolar disorder and controls longitudinally through at-home assessments. Methods Assessments were conducted within The Danish High Risk and Resilience Study, a nationwide multi-center cohort study of children of parents with schizophrenia or bipolar disorder and population-based controls. The level of at-home stimulation and support was measured at age 7 (N = 508 children) and age 11 (N = 430 children) with the semi-structured HOME Inventory. Results from the 11-year follow-up study were analyzed and compared with 7-year baseline results to examine change across groups. Results At age 11, children of parents with schizophrenia and bipolar disorder had lower levels of stimulation and support than controls (mean (s.d.) = 46.16 (5.56), 46.87 (5.34) and 49.25 (4.37) respectively, p < 0.001). A higher proportion of children with parental schizophrenia or bipolar disorder lived in inadequate home environments at age 11, compared with controls (N (%) = 24 (15.0), 12 (12.2) and 6 (3.5) respectively, p < 0.003). The changes in home environment scores did not differ across groups from age 7 to age 11. Conclusions Assessed longitudinally from the children's age of 7 to 11, children of parents with schizophrenia or bipolar disorder had lower levels of stimulation and support in their homes than controls. Integrated support which can target practical, economic, social and health issues to improve the home environment is indicated.
KW - bipolar
KW - Home environment
KW - offspring
KW - schizophrenia
U2 - 10.1017/S0033291721004487
DO - 10.1017/S0033291721004487
M3 - Journal article
C2 - 37310315
AN - SCOPUS:85120785502
VL - 53
JO - Psychological Medicine
JF - Psychological Medicine
SN - 0033-2917
IS - 6
ER -
ID: 288198739